Comparison of cryotherapy and curettage for the treatment of pyogenic granuloma: a randomized trial

BACKGROUND

Pyogenic granuloma is a benign vascular lesion of the skin and mucous membranes. Many different treatments have been used, with variable success rates.

OBJECTIVES

To evaluate and compare the effects of cryotherapy and curettage in the treatment of pyogenic granuloma.

METHODS

Eighty-nine patients with pyogenic granuloma were randomized to receive cryotherapy with liquid nitrogen or curettage and electrodesiccation. Forty patients in the cryotherapy group and 36 patients in the curettage group completed the study period.

RESULTS

Among the patients who completed the study, treatment resulted in complete resolution of all lesions after one to three sessions (mean 1.42) in the cryotherapy group and after one to two sessions (mean 1.03) in the curettage group. The difference between the two groups was statistically significant (P < 0.001). Twenty-three patients (57.5%) in the cryotherapy group and 25 patients (69%) in the curettage group had no scar or pigmentation abnormality. Except for cosmetic problems, no other side-effect or complication was recorded in the study.

CONCLUSIONS

This study showed that both cryotherapy and curettage are safe and effective. Curettage had the advantage of fewer treatment sessions required to achieve resolution and better cosmetic results. We suggest that curettage could be the first-line treatment for pyogenic granuloma.

Findings on the phytoextraction and phytostabilization of soils contaminated with heavy metals

As a result of human activities such as mining, metal pollution has become one of the most serious environmental problems today. Phytoremediation, an emerging cost-effective, non-intrusive, and aesthetically pleasing technology that uses the remarkable ability of plants to concentrate elements can be potentially used to remediate metal-contaminated sites. The aim of this work was to assess the extent of metal accumulation by plants found in a mining area in Hamedan province with the ultimate goal of finding suitable plants for phytoextraction and phytostabilization (two processes of phytoremediation). To this purpose, shoots and roots of the 12 plant species and the associated soil samples were collected and analyzed by measurement of total concentrations of some elements (Fe, Mn, Zn, and Cu) using atomic absorption spectrophotometer and then biological absorption coefficient, bioconcentration factor, and translocation factor parameters calculated for each element. Our results showed that none of the plants were suitable for phytoextraction and phytostabilization of Fe, Zn, and Cu, while Chenopodium botrys, Stipa barbata, Cousinia bijarensis, Scariola orientalis, Chondrila juncea, and Verbascum speciosum, with a high biological absorption coefficient for Mn, were suitable for phytoextraction of Mn, and C. bijarensis, C. juncea, V. speciosum, S. orientalis, C. botrys, and S. barbata, with a high bioconcentration factor and low translocation factor for Mn, had the potential for the phytostabilization of this element.

The effect of palm oil or canola oil on feedlot performance, plasma and tissue fatty acid profile and meat quality in goats

Twenty-four entire male Kacang kid goats were fed diets containing 3% canola (n=12) or palm oil (n=12) supplements for 16 weeks. The goats had an initial live weight of 14.2±1.46 kg and were fed a mixed ration ad libitum (10.4 MJ/ME and 14% crude protein). There was no difference in feedlot performance due to diet. Inclusion of canola oil reduced (P<0.05) kidney fat weight and increased (P<0.05) linolenic acid (18:3n-3) concentration in the blood plasma, m. longissimus lumborum (LL), liver, and kidney. The palm oil diet increased (P<0.05) myristic (14:0) and palmitic (16:0) acid content in the blood, but this did not alter these fatty acids in the LL muscle. Lipid oxidative substances in the liver and LL from palm oil fed kids were higher (P<0.05) than those from canola supplemented kids. The incorporation of canola oil into the goats' diet increased muscle omega-3 fatty acid content, but lipid oxidation was lowered in the blood and muscle LL.

Predictors of mental and physical health in non-cirrhotic patients with viral hepatitis: a case control study

OBJECTIVE

To identify independent predictors of mental and physical health in patients with viral hepatitis.

METHODS

Hepatitis C (HCV) and hepatitis B (HBV) infected patients, and community control subjects with equal age and sex distribution were recruited. All subjects filled in personal characteristics questionnaire, Hospital Anxiety and Depression Scale (HADS), Iowa Fatigue Scale (IFS), and Medical Outcomes Survey Short Form-12 (SF-12). All patients had measurement of routine laboratory values, and some had recent liver biopsy. Regression analyses were used to identify predictors of physical and mental health.

RESULTS

One hundred eighty nine subjects (162 males, 27 females, for each group N=63) with mean (±SD) age of 39±11years were included. Anxiety and depression were important predictors of SF-12 (and its subscales MCS and PCS) and IFS scores, whereas IFS scores independently predicted HADS, PCS, MCS, and SF-12 scores. After controlling for confounders, HCV infection was independently associated with impairment of physical health. Moreover, creatinine showed an inverse strong relation with fatigue. Genotype 3a of HCV was independently associated with depressed and anxious states, whereas higher inflammation grade was significantly related to depression. Marital status, non-psychiatric comorbidities, and history of alcohol abuse also predicted health scores in the patients. Adjusted R(2)s for linear models were 0.571 to 0.709, whereas areas under the receiver operating characteristic (ROC) curve for logistic models were 0.90 to 0.93.

CONCLUSION

In viral hepatitis patients, besides mental and medical comorbidities, marital status, and alcohol abuse, HCV infection itself is associated with impaired physical and possibly mental health.

Facile fabrication of Tl4HgI6 nanostructures as novel antibacterial and antibiofilm agents and photocatalysts in the degradation of organic pollutants

Nano-Tl₄HgI₆ was fabricated via a co-precipitation route. It showed efficient antibacterial activity against Gram-negative and Gram-positive bacteria. Its photocatalytic activity indicated the highest degradation for RhB of around 78%.

In vitro storage of unfertilized ova of endangered Caspian brown trout (Salmo trutta caspius) in artificial media

In order to study the effects of storage media and time of storage on the viability of unfertilized eggs of endangered Caspian brown trout (Salmo trutta caspius), the ova of this fish was stored in coelomic fluid and Cortland artificial media at 2-3 degrees C for 120 h. In this research, Cortland artificial medium was buffered with 20 mM of three different buffers: Hepes (C(8)H(18)N(2)O(4)S), Tris-HCl (C(4)H(11)NO(3)-HCl) and sodium salt Hepes (C(8)H(17)N(2)O(4)SNa). The pH of these media were adjusted according to natural pH of coelomic fluid. The eggs that stored in these media fertilized at times 0 h (eggs fertilized prior to storage), 48, 72 and 120 h of post-stripping, using fresh and pooled sperm obtained from four to six males. According to the results of present study, time of storage showed a significant (p<0.05) main effect on eyeing, hatching and eyed eggs mortality rates. Eyeing and hatching rates significantly (p<0.05) decreased from 97.4+/-2.1% and 95.1+/-4.4% at time 0 (eggs fertilized prior to storage) to 77.9+/-3% and 65.5+/-5% after 120 h of storage. Within a similar period of time, eyed eggs mortality significantly (p<0.05) increased from 2.4+/-2.4% to 17.2+/-3.9%. No significant (p>0.05) main effect was found among media buffered with Tris-HCl (82.8+/-3.2%, 73.4+/-5.4%, 12.1+/-4.5%), Hepes (88.2+/-3.4%, 80.7+/-5.5%, 9.3+/-3.4%), sodium salt Hepes (77.8+/-3.8%, 69.3+/-5.7%, 12.2+/-3.9%) and coelomic fluid (84.8+/-3.8%, 77.7+/-5.1%, 8.9+/-2.7%) for eyeing, hatching and eyed eggs mortality rates. There was a negative correlation (r=-0.895, p<0.001) between eyed eggs mortality and hatching rates. In conclusion, unfertilized eggs of endangered Caspian brown trout can be successfully stored for 48 h without significant loss of fertility. But, storage for 120 h results in the falling of hatching rate. In addition, no significant difference was found between viability rates of ova stored in coelomic fluid and artificial media, 120 h post-storage. It reveals that artificial media could be substituted for coelomic fluid as storage medium at least for 120 h in Caspian brown trout.

Chemoprotective effects of captopril against cyclophosphamide-induced genotoxicity in mouse bone marrow cells

The protective effects of captopril (CAP) against toxicity induced by cyclophosphamide (CP) in mice were investigated using the micronucleus assay for anticlastogenic activity in mouse bone marrow cells and liver glutathione (GSH) content. A single intraperitoneal (i.p.) injection of CAP at 50, 100, and 200 mg/kg 1 h prior to cyclophosphamide (50 mg/kg) reduced the frequency of micronucleated polychromatic erythrocytes (MnPCEs). All three doses of CAP significantly reduced the frequency of MnPCEs in mouse bone marrow compared to the group treated with CP alone (P<0.0001-0.01). CP significantly depleted the GSH content in liver but the application of CAP at a dose of 100 mg/kg 1 h before CP treatment repleted the GSH content. CAP exhibited concentration-dependent antioxidant activity, scavenging >96% of the 1,1-diphenyl-2-picryl hydrazyl free radicals when used at a concentration of 0.2 mM. It appears that CAP, due to its antioxidant activity and by increasing GSH levels, can modulate the reduced cellular thiol content induced by CP and reduce the genotoxicity of CP in bone marrow cells.

Prevalence of metabolic syndrome in Iranian patients with schizophrenia: A systematic review and meta-analysis

Metabolic syndrome as a set of cardiovascular risk factors is highly prevalent among patients with schizophrenia. It can also lead to cardiovascular diseases and shorten lifespan. This systematic review and meta-analysis aimed to estimate the prevalence of metabolic syndrome among Iranian patients with schizophrenia. Five national studies were retrived without any time limitation and reported in the present systematic review and meta-analysis. Data bases including Web of Science, Google Scholar, PubMed and Scopus were used to search and retrieve related articles. Keywords including "schizophrenia", "metabolic syndrome", "MetSyn" and "X syndrome", and their combinations were used. Data were analyzed using the meta-analysis method and the random effects model. The heterogeneity of the studies was evaluated using the I² index and data was analyzed using the STATA software version 12. The analysis of five selected articles with a sample size of 1589 people showed that the prevalence of metabolic syndrome in patients with schizophrenia was reported as 23.9% (95% CI: 14.8-33). The prevalence of metabolic syndrome in women and men was reported as 34% (95% C: 19-49) and 10.8% (95% CI: 2.9-18.7), respectively. According to the meta-regression analysis, no correlation was reported between the prevalence of metabolic syndrome and the mean age of patients (p = 0.607), year of publication of articles (p = 0.350), sample size (p = 0.392) and duration of disease (p = 0.607). Also, about one fourth of the patients with schizophrenia were suffering from metabolic syndrome. The identification of at-risk patients is necessary to control and treat metabolic syndrome.

Asymptomatic cryptosporidiosis in nomadic shepherds and their sheep

The formed stool samples of 276 asymptomatic members of 36 households of a group of nomadic shepherds and 215 non-diarrhoeal faecal samples from their sheep were examined for cryptosporidial infection by a modified Ziehl-Nielsen technique. Thirty-six (13%) human samples and 37 (17.2%) samples from sheep were positive. A strong possibility of asymptomatic zoonotic transmission of cryptosporidiosis due to prolonged and constant association of shepherds and their sheep was an important finding.

The effect of participatory community-based diabetes cares on the control of diabetes and its risk factors in western suburb of Yasouj, Iran

This study aimed to investigate whether a community-based participatory diabetes care program could efficiently improve diabetic care and reduce its risk factors. To induce a participatory approach, a local group was established in partnership with academics, local leaders, health providers and public representatives. The group conducted community needs assessment and priority setting process. Diabetes was identified as the first priority health problem in this area. A total of 2569 30- to 65-year-old residents were screened for diabetes and 405 of them took part in a 13-week nutrition education and physical exercise intervention. Out of 1336 high-risk individuals, 17% had fasting blood sugar (FBS) ≥126 mg/dl and 13.5% with FBS between 110 and 125 mg/dl. Percentages of participants with triglycerides (TG) ≥150 mg/dl and cholesterol ≥200 mg/dl were 33.8% and 23.5%, respectively. After completion of the intervention, the mean FBS, HbA1C, TG and cholesterol were decreased significantly. Although systolic and diastolic blood pressure and body mass index were decreased too, the differences were not statistically significant. The mean physical activity increased and consumption of fried foods and saturated oil decreased significantly. The results suggest that participatory community-based care could be a feasible model for control of diabetes and its risk factors.

H-point standard addition method applied to simultaneous kinetic determination of antimony(III) and antimony(V) by adsorptive linear sweep voltammetry

In this work, the applicability of H-point standard addition method (HPSAM) to the kinetic voltammetry data is verified. For this purpose, a procedure is described for the determination of Sb(III) and Sb(V) by adsorptive linear sweep voltammetry using pyrogallol as a complexing agent. The method is based on the differences between the rate of complexation of pyrogallol with Sb(V) and Sb(III) at pH 1.2. The results show that the H-point standard addition method is suitable for the speciation of antimony. Sb(III) and Sb(V) can be determined in the ranges of 0.003-0.120 and 0.010-0.240 microg mL(-1), respectively. Moreover, the solution is analyzed for any possible effects of foreign ions. The obtained results show that the HPSAM in combination to electroanalytical techniques is a powerful method with high sensitivity and selectivity. The procedure is successfully applied to the speciation of antimony in water samples.

Trend of geographical distribution of stomach cancer in Iran from 2004 to 2014

BACKGROUND

Among different common types of cancer, gastric cancer (GC) is a worldwide health priority in both developing and developed countries. The aim of this study was to map the distribution of incident cases of GC in Iran to provide a geographical presentation of the incidence of the disease.

METHODS

This study used the Iranian National Cancer Registry (INCR) data from 2004 to 2014. We calculated the crude and age-standardized incidence rates of GC for each province and also defined the frequency distribution of different types and locations of GC by the provinces.

RESULTS

According to the results of the present study, the patients were predominantly male 49,907 (70.0%) and the most prevalent type of tumour was A1 (almost 96.4%) and C3‌ (2.0%). Also, a significant difference was observed between males and females in the distribution of the types of tumour (P < 0.001). In addition, a comparison of the distribution of the types of GC in Iran suggested that a significant difference exists between the provinces (P < 0.001). A significant difference was observed when the distribution of the location of GC tumors was compared between males and females and provinces (P < 0.001). Accordingly, pylori and cardia are the most common location of GC cancer among the study population (28.1% and 31.3% respectively).

CONCLUSIONS

The results of the current study suggested a higher rate of GC incidence in Iran when compared to the global figure in both females and males. Our study also revealed significant disparities between provinces with regard to the distribution of types, and location of GC. This may suggest involving different factors in GC in different parts of Iran. Further studies are needed to better understand the epidemiology and etiology of the disease in Iran.